Antenatal growth chart

with 90th, 50th and 10th centile lines for

Fundal height (cm) 44

Bangladesh (term average weight 2955 g)

Weight (g) 5000

42

4500

40

4000

38 3500 36 3000 34 2500 32 2000 30 1500 28 1000

26

24 X = Fundal height 22 Gestation week 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 O = Estimated weight by scan

EDD

500

Date of visit Fundal height For growth scan Signature Fundal height measurements from 26 to 28 wks. Mother semi-recumbent, bladder empty. Measurements to monitor growth should be every 2-3 weeks, preferably by same person. Hold non-elastic tape at top of uterine fundus. Measure to top of symphysis pubis. Measure along longitudinal uterine axis and plot on chart.

Referral for ultrasound growth scan (for estimated fetal weight & amniotic fluid) is recommended if: - the first fundal height measurement plots below 10th centile line on the customised chart - consecutive measurements suggest: NO growth (static or flat curve), or SLOW growth (not following slope of either curve on the chart); or EXCESSIVE growth (steeper than curves on the chart).
(NB: A first plot above the 90th centile line does NOT need scan for 'LGA', unless there are other clinical concerns, e.g. polyhydramnios).

Following ultrasound, if the assessment is:

1. Normal => revert to serial fundal height measurement. 2. Abnormal => refer for urgent obstetric review +/- Doppler.

Gestation Related Average Weight Chart - GRAW v1.0; Oct 2010

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Printed at 13:12 on 23/12/2010